According to the annual report of the hospital, PSKUS incurred losses of 12.93 million euros last year, which is 12.18 million euros more than the previous year. At the same time, the actual losses turned out to be 680 thousand euros less than the approved budget had anticipated. The hospital emphasizes that more than 90% of its income is generated from state-paid medical services. However, the current funding system, according to the management, does not take into account the real costs of treatment, especially in cases of complex and high-tech interventions. The total revenue of PSKUS in 2025 amounted to 208.6 million euros, an increase of 2.45%, while expenses grew significantly faster — by 8.4%, reaching 221.5 million euros. Labor costs increased the most — by 5.7 million euros. This is due to salary increases, expansion of project activities, and the abandonment of external security services. Additionally, expenses for medications and medical materials increased by another 8.8 million euros. The issue of funding for inpatient treatment remains particularly acute. According to the hospital, in 2025, the cost of services provided under the diagnostic group system exceeded the allocated funding by 7.47 million euros. On average, state funding underpaid about 184 euros per patient. One of the most problematic areas remains the treatment of heart rhythm disorders. The funding shortfall for ablation procedures reached 4.9 million euros. In neurology, including stroke treatment, the current tariffs cover only about 65% of actual costs, leading to a shortfall of another 840 thousand euros. Even patient nutrition is funded below cost. According to the hospital's calculations, the established tariff of seven euros per bed-day creates an annual deficit of approximately one million euros. Despite financial difficulties, the volume of medical assistance continues to grow. Last year, the hospital conducted nearly 335 thousand outpatient consultations, which is 7% more than the previous year. The number of remote consultations increased by more than a third. In the inpatient department, 48,682 patients received treatment. A total of 61,788 surgeries were performed, including 83 organ transplants: 47 kidney transplants, 24 corneal transplants, five heart transplants, and seven liver transplants. Emergency medical assistance was provided to more than 64 thousand patients over the year, which is almost three thousand more than the previous year. The hospital believes that without revising tariffs and more fully covering the actual costs of medical institutions, the issue of funding deficits will persist.